1260 Jericho Church RdDavie° Countv, NC
Tax Parcel Report
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WARNING: THIS IS NOT A SURVEY
Davie County,
All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
Parcel Information
Parcel Number:
J400000040
Township:
Mocksville
NCPIN Number:
5737374737
Municipality:
Account Number:
29978700
Census Tract:
37059-806
Listed Owner 1:
GRAHAM DAVID C
Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1:
1260 JERICHO CHURCH ROAD
Planning Jurisdiction:
MOCKSVILLE
City:
MOCKSVILLE
Zoning Class: MOCKSVILLE OSR
State:
NC
Zoning Overlay:
Zip Code:
27028-4215
Voluntary Ag. District:
No
Legal Description:
2.48 AC JERICHO CHURCH RDLOTS 21-25
Fire Response District:
MOCKSVILLE
Assessed Acreage:
2.39
Elementary School Zone:
MOCKSVILLE
Deed Date:
9/1994
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001760370
Soil Types: WeB,PcC2,RnD
Plat Book:
0003
Flood Zone:
Plat Page:
067
Watershed Overlay:
MOCKSVILLE
Building Value:
139770.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
26850.00
Total Market Value:
166620.00
Total Assessed Value: 166620.00
I,v J
Davie County,
All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
NCor
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or Inability to use the GIS data provided by this website.
AUTHOR- ATION NO: 0806 DAVIE COUNTY HEALTH DEPARTMENT 50 D`a
_ Environmental Health Section PROPERTY INFO MATION
Permittee's +� P.O. Box 848
l arae: D G,1l 0- Mocksville NC 27028 Subdivision Name: ..--
Phone #: 704-634-8760
Directions to property:Section: Lot:
C^r
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Tax Office PIN:#
Road Name: �7..!1 TN; -x'5 �& Zip:
r
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
_01
DAVIE COUNTY HEALTH DEPARTMI /NT
IMPROVEMENT AND OPERATION fy4MIT;3' PROPERTY INFORMATION
=Permltfee's� _ a
Subdivision Name:
Directions to property: ria"'Section: 4 _ Lot:
IMPROVEMENT
J-
.
- .
�,. PERMIT Tax Office PIN:# _
Road Nam :L. - Zip s
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
.� ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS � # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes.oCNo
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WAS TEy l'es or No''
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH R LINEAR FT. ISO
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT -"
F
fu
"CONTACT A REPRESENTATIVE 6F;THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
I OPERATION PERMIT
SYSTEM INSTALLED BY:
r
AUTHORIZATION NO. OPERATION PERMIT BY: �!DATE: fG ✓�y�
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
-,'erchittee -s
Name;
Directions to property:
X0
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY, INFORMATION
f
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# -
Road Nare: M .R 4 661 IL ZiP: G"
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS L- _ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes Nib
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:�Yes'or No
^
LOT SIZE ��.. TYPE WATER SUPPLY `*. i . DESIGN WASTEWATER FLOW (GPD) t!`c� NEW SITE REPAIR SITE
F�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH J ROCK DEPTH /F' LINEAR FT. ISO ,
OTHER 1�1�a� ,��:> �� --Th.,x�
t
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT _
`L �S ,
s6
rl)
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. D6. OPERATION PERMIT BY: l� � DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
omG v►tiG ��w� ��y hr' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION R�
;2�d Lk ` ris APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME �Ay�c - �rca n d v11 PHONE NUMBER 6 614 - W G
ADDRESS l a 6 -D U' A c-ka Cly- W M04— 27 0 2,�- SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE �J cn-, c�rp CL (a - :pr4sT _76y\ •:s Cn 44- S Zoe.. L" -ems . '12• l rv:. �e..
w. R �' - L s � n.►4p �u.. c'� osa..� h � o�np-1-hG.�- i2 P� 1-��-•`� c�l.� �)
DATE SYSTEM INSTALLED Zo�yM NAME SYSTEM INSTALLED UNDER
TYPE FACILITY Lft G` NUMBER BEDROOMS NUMBER PEOPLE SERVED ..3
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING -"Rurr►y., a�'4- rrv► g rvw��
M��
DATE REQUESTED i 'ate 9 % INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am respon a for all charges incurred from this application.
/
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93 1/93